Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
SHELBY COUNTY UNITED WAY
 
Employer identification number
34-4473288
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN RED CROSS
1314 BARNHART ROAD
TROY,OH45373 		31-0536678 3 40,000       PEOPLE IN CRISIS
(2) APPLESEED RIDGE GIRL SCOUT COUNCIL
4930 CORNELL ROAD
SIDNEY,OH45365 		31-0679091 3 10,000       INVESTING IN YOUTH
(3) BIG BROTHERS BIG SISTERS
121 E NORTH STREET
SIDNEY,OH45365 		34-1262676 3 73,000       INVESTING IN YOUTH
(4) REHAB CENTER FOR NEUROLOGICAL DEV
1306 GARBRY ROAD
PIQUA,OH45356 		23-7202001 3 27,000       HEALTH & WELL BEING
(5) ALPHA COMMUNITY CENTER
330 E COURT STREET
SIDNEY,OH45365 		31-1131824 3 50,500       FAMILY SERVICES
(6) CATHOLIC SOCIAL SERVICES
1201 FAIRINGTON DRIVE
SIDNEY,OH45365 		31-0536645 3 28,000       FAMILY SERVICES
(7) MIAMI VALLEY BOY SCOUT COUNCIL
4999 NORTHCUTT PLACE
DAYTON,OH45414 		31-0537124 3 30,000       INVESTING IN YOUTH
(8) NEW CHOICES
PO BOX 4182
SIDNEY,OH45365 		31-1125935 3 50,000       PEOPLE IN CRISIS
(9) SHELBY CO ADULT DAY CARE
2901 FAIR ROAD
SIDNEY,OH45365 		34-6401342 3 26,000       SENIOR SERVICES
(10) SIDNEYSHELBY CO SENIOR CENTER
201 RM DAVIS PARKWAY
PIQUA,OH45356 		23-7299345 3 53,000       SENIOR SERVICES
(11) SIDNEYSHELBY CO YMCA
300 PARKWOOD STREET
SIDNEY,OH45365 		34-6596911 3 91,000       FAMILY SERVICES
(12) ALTERNATIVE SCHOOL
129 EAST COURT STREET
SIDNEY,OH45365 		34-6401343 3 63,000       INVESTING IN YOUTH
(13) SHELBY COUNTY ARC
PO BOX 544
SIDNEY,OH45365 		34-6408693 3 31,000       HEALTH & WELL BEING
(14) VICTIM SERVICES
202 EAST POPLAR STREET
SIDNEY,OH45365 		34-6401342 3 20,000       PEOPLE IN CRISIS
(15) SAMARITAN WORKS
230 W POPLAR STREET
SIDNEY,OH45365 		20-0771376 3 35,000       PEOPLE IN CRISIS
(16) COMPASSIONATE CARE
124 NORTH OHIO AVE
SIDNEY,OH45365 		20-8479583 3 105,000       HEALTH & WELL BEING
(17) WILMA VALENTINE AGENCY
1200 SOUTH CHILDRENS HOME RD
SIDNEY,OH45365 		31-1596196 3 85,500       FAMILY SERVICES
(18) CLEAR CREEK FARMS
PO BOX 1433
PIQUA,OH45356 		31-0982443 3 60,000       FAMILY SERVICES
(19) SHELBY COUNTY-CASAGAL
PO BOX 4187
SIDNEY,OH45365 		  10,000       INVESTING IN YOUTH
(20) SENIOR HEALTH-CATHOLIC SOCIAL SERVI
1201 FAIRINGTON DR
SIDNEY,OH45365 		31-0536645 3 30,000       SENIOR SERVICES
(21) EMERGENCY HOUSING & UTILITIES
330 E COURT ST
SIDNEY,OH45365 		31-1131824 3 18,000       PEOPLE IN CRISIS
(22) SAFE HAVEN
633 NORTH WAYNE ST
PIQUA,OH45356 		31-1458088 3 56,446       HEALTH & WELL BEING
(23) SPECIAL PROJECTS
232 S OHIO AVE
SIDNEY,OH45365 		34-4473288 3 64,999       INVESTING IN COMMUNI
(24) OTHER UNITED WAY DONOR DESIGNATION
VARIOUS LOCATIONS
VARIOUS,OH45365 		3 126,357       DESIGNATION TO OTHER
(25) COMMUNITY IMPACT 2-CCFJUVCT
SHELBY COUNTY COURT HOUSE
SIDNEY,OH45365 		GOV 55,000       FAMILY SERVICES
(26) SHELBY COUNTY SALVATION ARMY
419 N BUCKEYE AVE
SIDNEY,OH45365 		13-5562351   12,500       PEOPLE IN CRISIS
(27) COMMUNITY CHRISTMAS DINNER
232 S OHIO AVE
SIDNEY,OH45373 		34-4473288   6,099       FAMILY SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I (Form 990) 2014



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